FORM 1023-EZ for POLK NO KILL COALITION INC

Field Data
EIN 84-3425034
Case Number EO-2019296-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLK NO KILL COALITION INC
Organization’s Mailing Address P O BOX 6762
City LAKELAND
State FL
ZIP 33807
Accounting period End 12
Primary contact name EVE SALIMBENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVE SALIMBENE
PRESIDENT
4230 LIVE OAK ROAD
LAKELAND FL 33813

Officer/Director/Trustee Two

DAVID MITCHELL
VICE PRESIDENT
618 N STELLA AVENUE
LAKELAND FL 33801

Officer/Director/Trustee Three

CYNTHIA DORMAN
SECRETARY
6103 OAKVIEW DRIVE
LAKELAND FL 33811

Officer/Director/Trustee Four

SARALYN SMITH
TREASURER
4740 HIGHLANDS PL CIR
LAKELAND FL 33813

Organization’s website
Organization’s email POLKNOKILL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EVE SALIMBENE
Signature Title PRESIDENT
Signature Date 10/21/19

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